Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly L Wildes, CDCA-PRE

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639996945

Kelly L Wildes, CDCA-PRE is an Addiction (Substance Use Disorder) Counselor in Youngstown, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone: (330) 797-0070
Fax: (330) 797-9146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.189536 (OH)

Record details

NPI number1639996945
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA-PRE
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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